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NPI Code Detail

MEDICARE: DAT NGUYEN MD

MEDICARE: DAT NGUYEN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD00033474WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932121381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAT NGUYEN MD
Provider Business Mailing Address
First Line : 7520 TOTEM BEACH RD
Second Line :
City : TULALIP
State : WA
Zip : 98271-6160
Country : US
Telephone Number : 360-651-4525
Fax Number : 360-651-9427
Provider Business Practice Location Address
First Line : 7520 TOTEM BEACH RD
Second Line :
City : TULALIP
State : WA
Zip : 98271-6160
Country : US
Telephone Number : 360-651-4525
Fax Number : 360-651-9427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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Directions to “ DAT NGUYEN MD” Practice Location

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